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Why does throwing up relieve migraine?

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Vomiting and migraineShould I be worried if I throw up? MedicationLifestyle measuresAlternative remediesPreventionSummary
Vomiting is a common symptom of migraine, which may help relieve or stop an episode. The exact connection is unknown, but it is thought to signal the end of a migraine episode.
Medically reviewed by Deena Kuruvilla, MD
Written by Suan Pineda
Updated on

Migraine is a chronic condition that can feel like an intense headache with pulsating pain on one side of the head. It can lead to several symptoms, such as dizziness, nausea, and vomiting. 

Around 40 million people in the United States have migraine. Nausea and vomiting are common symptoms of a migraine episode, thought to be experienced by around 60% of people with migraine.

Migraine is a common neurological condition that tends to affect women more than men. The exact cause of migraine isn’t known, but it can be triggered by several things, such as:

  • certain foods
  • hormonal changes
  • stress levels

How does throwing up relieve migraine?

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Ibai Acevedo/Stocksy United

The exact link between vomiting and migraine relief remains unknown, but it is thought to be caused by vagus nerve stimulation.

Although vomiting is one of the symptoms of migraine, throwing up may help relieve symptoms too. An older 2013 study suggests this may be because throwing up can release endorphins that help lower pain. Vomiting may also reduce inflammation and pain because it diverts blood flow.

It is also possible that throwing up may just happen to occur at the end of a migraine episode when symptoms start to subside. 

It is not recommended that you induce vomiting to alleviate migraine symptoms.

Should I be worried if I throw up? 

Vomiting is one of the symptoms of a migraine, and it tends to happen during the severe stage of a migraine. This phase is known as the headache stage and can last between 4 and 72 hours. The headache stage is in the penultimate phase of a migraine, which means the migraine episode is ending. 

Throwing up is a common symptom of migraine that can also relieve symptoms. However, if you vomit frequently, consider speaking to a healthcare professional, as it can increase your risk of dehydration. 

Common symptoms of a migraine episode during the headache phase include:

  • throbbing headache
  • nausea and vomiting
  • anxiety
  • nasal congestion
  • sensitivity to light
  • stiffness and pain in the neck

Migraine episodes that last longer than 72 hours without a pain-free period are known as status migrainosus. If your symptoms exceed 3 days, seek medical help, as this condition usually requires a different treatment than a typical migraine attack.

Medication options

You can find relief and even prevent a migraine through medications such as:

Over-the-counter (OTC) pain relievers 

OTC drugs can reduce some migraine symptoms, such as pain and inflammation.

This includes nonsteroidal anti-inflammatory drugs (NSAIDs), such as:

Prescription medication

If OTC options don’t work, your healthcare professional may prescribe you medications, such as: 

  • Triptans are a first-line migraine treatment that can help shrink blood vessels and reduce pain. Examples include:
  • Antiemetics are a type of dopamine receptor antagonist that can reduce migraine pain. Examples include metoclopramide (Reglan) and prochlorperazine (Compazine).

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Lifestyle measures

Lifestyle measures such as avoiding triggers and keeping hydrated can help prevent migraine.

Avoid triggers

Although the exact cause of migraine isn’t known, certain factors can lead to an episode of migraine. Some things that can trigger a migraine episode include:

  • certain food and drink, such as:
    • aged cheese
    • processed foods
    • alcohol
    • caffeine
  • temperature changes
  • stress
  • allergies
  • food poisoning

Consider keeping a migraine journal to track and identify what may be triggering your migraine attacks. This can also be useful when discussing symptoms with a healthcare professional. It may help identify a cause and determine a suitable treatment option.

Keep hydrated

If you have regular migraine attacks, it’s important to keep hydrated. A 2020 study looking at the association between drinking water and migraine severity, found that those who consumed more water had reduced pain levels and headache frequency.

If you need help covering the cost of medications, the free Optum Perks Discount Card could help you save up to 80% on prescription drugs. Follow the links on drug names for savings on that medication, or search for a specific drug here.

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Integrative remedies

Specific integrative remedies can help provide relief for chronic pain. It’s important to continue using any prescribed medication alongside natural remedies.

Examples include:

Acupuncture 

Acupuncture is an ancient Chinese medicinal practice that involves the insertion of tiny needles into target areas of the body. It can help to reduce tension and pain associated with migraine.

A 2016 study found that acupuncture may help reduce the severity and frequency of headaches.

Natural remedies 

Natural remedies can be a great way to find migraine relief at home. Some natural remedy options that may help migraine include: 

Prevention

You can prevent a migraine attack by recognizing the early signs of a migraine, known as the prodrome phase, and taking medications like triptans to stop it from developing.

Some lifestyles strategies that can help you prevent migraine or lower the severity and frequency of its symptoms include:

  • eating a balanced diet
  • avoiding known triggers, such as certain foods
  • staying hydrated
  • exercising
  • reducing stress
  • getting enough sleep

Summary

Nausea and vomiting are common symptoms of a migraine episode, thought to be experienced by around 60% of people with migraine.

If you find yourself throwing up frequently, consider speaking with a healthcare professional, as excessive vomiting can lead to dehydration. It’s also not recommended that you induce vomiting to alleviate migraine symptoms.

There are several treatment options to help relieve and prevent a migraine, such as medications and natural remedies.

Download the free Optum Perks Discount Card to save up to 80% on some prescription medications.

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